Active NPI
Smile Dental Wellness PC
- Dental Clinic/Center
- Manhasset, NY
National Provider Identifier
1558023507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SMILE DENTAL WELLNESS PC
- Doing business as
- Golden Dental Wellness Center
- Practice address
- 444 Community Dr Ste 204
Manhasset, NY 11030-3820 - Phone
- (516) 627-8400
- Fax
- (516) 627-9047
- NPI assigned
- Oct 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed Raza Hasnain Jafri
- Title
- Managing Director
- Phone
- (516) 627-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
444 Community Dr Ste 204
Manhasset, NY 11030-3820
Mailing address
444 Community Dr Ste 204
Manhasset, NY 11030-3820
Phone (516) 627-8400
Other names 1
- Golden Dental Wellness Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | goldendental@optonline.net | Direct |
National Provider Directory
National Provider DirectoryLocations
444 Community Dr
Ste 204
Manhasset, NY 11030
Phone (516) 302-3112
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Manhasset, NY
- NPI 1558440271
-
- Dentist
- Manhasset, NY
- NPI 1225296064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633564800000",
"number": "1558023507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 COMMUNITY DR STE 204",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303820",
"telephone_number": "516-627-8400",
"fax_number": "516-627-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 COMMUNITY DR STE 204",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303820",
"telephone_number": "516-627-8400",
"fax_number": "516-627-9047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE DENTAL WELLNESS PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-09-25",
"status": "A",
"authorized_official_last_name": "JAFRI",
"authorized_official_first_name": "SYED RAZA",
"authorized_official_middle_name": "HASNAIN",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "516-627-8400"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "goldendental@optonline.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "444 Community Dr Ste 204",
"city": "Manhasset",
"state": "NY",
"country_code": "US",
"postal_code": "110303820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Golden Dental Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.